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Understanding and efficiently handling a Driver History Abstract Application Request, prominently known as the Do 21 form, is fundamental for individuals or entities requiring detailed driver histories from the New Jersey Motor Vehicle Commission. Located at 225 East State Street, Trenton, this form facilitates the secure release of driving records, embodying a stringent adherence to privacy and legal protocols. It mandates an original signature for each separate record request, thus ensuring authenticity and responsibility from the requester. Notably, the Do 21 form encapsulates diverse request types—including but not limited to—a complete driver history abstract, restoration notice, and accident reports, each with an associated cost, signaling a tailored approach to varied informational needs. An indispensable tool for government and law enforcement entities, businesses, and individuals, this form also lays out specific channels for diverse purposes such as litigation, research, or verifying personal information accuracy, underscored by comprehensive sections delineated for applicant details, requested information, and the purpose of the request in seamless alignment with the New Jersey Driver Privacy Protection Act. Moreover, it highlights the consequences of misuse or unauthorized disclosures, thereby cementing the importance of legal compliance and the protection of personal information in its usage. The form, available for review and applications through the official NJMVC website, represents a critical nexus between accountability, public safety, and the lawful management of driver history information.

Preview - Do 21 Form

Driver History Abstract

Application Request

New Jersey Motor Vehicle Commission

Business & Government Services

225 East State Street

P.O. Box 142

Trenton, NJ 08666-0142 609-292-6100

A separate form must be completed for each record requested. You may photocopy this form for your convenience; however, each request must bear an original signature of the applicant. No other form of request will be accepted. For applications other than official Government use, the proper fee(s) must accompany each request in the form of a check or money order payable to: “New Jersey Motor Vehicle Commission.” DO NOT SEND CASH. Please note that the turnaround time is approximately 3-4 weeks.

*If you have any questions or need to obtain the status of a request sent by mail, please call 609-292-6100.

ALL APPLICANTS MUST COMPLETE SECTIONS A, B, C, AND E OF THIS FORM. COMPLETE SECTION D, IF APPLICABLE.

(Please print clearly)

SECTION A – Applicant's Information

Applicant’s Name:

Applicant Type:

Individual/Business

Government/Law Enforcement Entity

Phone Number:

 

 

 

 

 

 

 

Business or Government/Law Enforcement Entity Name (if applicable):

 

 

 

 

 

 

 

 

Street Address:

 

 

 

 

 

 

 

 

 

 

 

City:

 

 

State:

 

Zip Code:

 

 

 

 

 

 

Applicant Driver License Number or Government Issued ID Number (Please include a photocopy of your ID):

For Government or Law Enforcement Applicants: Please include a copy of your current Government issued Identification Card. Otherwise,

include a photocopy of your Driver License or a photocopy of a Passport, Birth Certificate, or any valid state or federally issued ID.

SECTION B – Information Requested

NJ Driver License Number (If you do not have the Driver’s License number, you MUST supply name, DOB, gender, and address):

Name:

Date of Birth:

M(Male)

F(Female) X(Unspecified)

 

 

 

 

 

 

 

 

 

Street Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City:

State:

 

Zip Code:

 

 

 

 

 

 

 

 

 

SECTION C - Records Requested (Check all that apply and include the specific date you want covered for each record if

applicable)

 

 

 

 

 

 

 

 

Certified Complete Driver History Abstract $15

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Certified 5 Year Driver History Abstract $15

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Order of Suspension $15

 

Date(s):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Schedule of Suspension $15

 

Date(s):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Restoration Notice $15

 

Date(s):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mailing List $15

 

Date(s):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Summons $15

 

Date(s):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Accident Report $5

 

Date(s):

 

 

 

 

 

 

 

 

 

 

 

 

 

** IF YOU REQUIRE THE ISSUE DATE OF YOUR LICENSE, YOU MUST SUBMIT THE DO-11 FORM.

 

Visit us at www.NJMVC.gov

 

DO-21 (R8/21)

New Jersey is an Equal Opportunity Employer

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Driver History Abstract

Application Request

SECTION D – Purpose for the Request (required ONLY when requesting another’s record)

PLEASE READ THE BELOW SECTION OF THE NEW JERSEY DRIVER PRIVACY PROTECTION ACT, INITIAL NEXT TO THE PERMITTED USE(S) THAT APPLY TO YOUR SPECIFIC USE OF THE MVC RECORDS. THEN PROVIDE A WRITTEN EXPLANATION OF THE REASON FOR YOUR REQUEST AND INTENDED USE OF THE INFORMATION.

 

USES PERMITTED BY N.J.S.A. 39:2-3.4(c)

 

 

1. For use by any government agency including any court or law enforcement agency carrying out its functions, or any private person

or entity acting

on behalf of a Federal, State, or local agency in carrying out its functions.

 

If acting on behalf of a Federal, State, or Local agency, please include a copy of an individual release consent form, the agreement

with the client,

or other proof that you have been retained to conduct an investigation.

 

2. For use in connection with matters of motor vehicle or driver safety and theft; motor vehicle emissions; motor vehicle product alterations, recalls or advisories; performance monitoring of motor vehicles; motor vehicle parts and dealers; motor vehicle market research activities, including survey research; and the removal of non-owner records from the original owner records of motor vehicle manufacturers.

Please include the documentation supporting your request if the information is to be used for motor vehicle emissions, recalls, or advisories, etc.

3. For use in the normal course of business by a legitimate business or its agents, employees or contractors, but only;

a. To verify the accuracy of personal information submitted by the individual to the business or agents, employees or contractors; and

b.If such information as so submitted is not correct or is no longer correct, to obtain the correct information, but only for the purposes of preventing fraud by pursuing legal remedies against or recovering on a debt or security interest against the individual.

Please include a copy of the individual release consent form.

4. For use in connection with any civil, criminal, administrative or arbitral proceeding in any Federal, State, or Local court or agency or before any self- regulating body, including service of process, investigation in anticipation of litigation, and the execution or enforcement of judgements and orders, or pursuant to an order of a Federal, State, or Local court.

Please include the Docket number and a letter from the client confirming that you have been retained. Please provide an explanation if no Docket number has been assigned. If no Docket number is available, please submit the case file number on Attorney letterhead and include a copy of the accident report.

5. For use in educational initiatives, research activities, and for use in producing statistical reports, so long as the personal information is not published, redisclosed, or used to contact individuals and, in the case of educational initiatives, only organ procurement organizations as aggregated, non-identifying information.

Please include a description of the initiative or research on official letterhead.

6. For use by an insurer or insurance support organization, or by a self-insured entity, or its agents, employees, or contactors, in connection with claims investigation activities, antifraud activities, rating or underwriting.

Please include supporting documents for intended use.

 

 

7. For use in providing notice to the owners of towed or impounded vehicles.

 

Please include proof of authorization to tow or impound vehicles.

 

 

8. For use by an employer or its agent or insurer to obtain or verify information relating to a holder of a commercial driver’s license that

is required

under

the “Commercial Motor Vehicle Safety Act,” 49 U.S.C. App. §2710 et seq.

 

Please include a copy of an individual release consent form, a copy of the insurance policy, and a copy of the agreement if done on

behalf of a

client.

 

9.For use in connection with the operation of private toll transportation facilities.

If your request does not fall under one of the above reasons:

10.For use by any applicant, if the applicant demonstrates it has obtained the notarized written consent of the individual to whom the information

pertains.

*Please note: If you selected number 10, a “Notarized Authorization to Release Personal Motor Vehicle Information” (Form BGS/DO- 21A) must be submitted and will not be accepted unless it is acknowledged by a Notary Public or Attorney at Law.

 

Visit us at www.NJMVC.gov

 

New Jersey is an Equal Opportunity Employer

DO-21 (R8/21)

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Driver History Abstract

Application Request

Explanation of reason

Please explain in detail your reason for requesting this information and how you plan to use it. If involving a lawsuit, please state the type of lawsuit and your relationship to the case.

 

Visit us at www.NJMVC.gov

 

New Jersey is an Equal Opportunity Employer

DO-21 (R8/21)

Page 3 of 4

Driver History Abstract

Application Request

SECTION E – Terms and Conditions

The disclosure and use of personal information * contained in the record you have requested is governed by the “New Jersey Drivers’ Privacy Act” (NJDPPA), N.J.S.A. 39:2-3.3 et seq. The NJDPPA provides that a person who knowingly obtains or discloses information from a motor vehicle record for any use not permitted by the Act is guilty of a crime of the fourth degree and can be held liable, in a civil action in the Superior Court, to the individual to whom the information pertains, including an award of actual damages, punitive damages, and reasonable attorney’s fees and litigation costs.

*“Personal Information” means information that identifies an individual, including an individual’s photograph; social security number; driver identification number; name; address other than the five-digit zip code; telephone number; and medical or disability information, but does not include information on vehicular accidents, driving violations, and driver’s status.

I hereby certify that the foregoing statements and submitted supporting documents are true. I understand that if any of the statements or submitted supporting documents are willfully false, I am subject to punishment. I have read N.J.S.A. 39:2-3.3, et seq. (NJDPPA) and I have initialed all the permitted purposes that apply to my request for online access. I will only use any personal information contained in records I have requested as permitted by the NJDPPA.

I agree to hold the New Jersey motor Vehicle Commission (NJMVC) harmless in the event of any errors or omissions in the record and document(s) furnished under this application.

If I am requesting another’s record, I certify that:

1.Use of the information provided by the NJMVC pursuant to this Application will only be for the purposes explicitly set forth in this Application;

2.The information provided by the NJMVC pursuant to this Application will not be used for the purpose of commercial solicitation or marketing, political canvassing or campaigning or any similar purpose or objective, and I shall not provide such information to any person or entity that seeks to use such information for any of these purposes;

3.If the information requested is to be used “in anticipation of litigation,” pursuant to N.J.S.A. 39:2-3.4(c)4, personal information will only be used where litigation is imminent or foreseeable, or where the party on whose behalf the information is obtained has made the conscious decision to prepare a claim or defend against a probable claim;

4.In the event of a breach of any of the security obligations or other event requiring notification under applicable law, I shall comply with all applicable State and Federal laws that require notification of individuals in the event of unauthorized release of Person Information, or other event requiring notification, and assume responsibility for informing the NJMVC within twenty-four (24) hours and all such appropriate individuals, including the customer whose information is the subject of the release, in accordance with applicable law and to indemnify, hold harmless and defend the State of New Jersey from, and against any claims, damages, or other harm related to such breach or event. All communications must be coordinated with the State of New Jersey by contacting the NJMVC at 609-341-5777.

____________________________________________

___________________________________________

Signature of Applicant (original signature only – signature

Date

Stamps are unacceptable)

 

 

Visit us at www.NJMVC.gov

 

New Jersey is an Equal Opportunity Employer

DO-21 (R8/21)

Page 4 of 4

Form Data

Fact Name Detail
Form Purpose Driver History Abstract Application Request
Issuing Body New Jersey Motor Vehicle Commission
Form Number DO-21
Location 225 East State Street, P.O. Box 142, Trenton, NJ 08666-0142
Contact Information 609-292-6100
Governing Law(s) New Jersey Drivers' Privacy Act (NJDPPA), N.J.S.A. 39:2-3.3 et seq.

Instructions on Utilizing Do 21

Filling out Form DO-21 for a Driver History Abstract Application Request in New Jersey can be necessary for various reasons, whether it's for personal, governmental, or business purposes. This detailed document requires careful attention to ensure all necessary information is provided accurately. Following a step-by-step guide will simplify the process and help avoid any delays. Remember, a separate form must be completed for each record requested, and photocopies are admissible as long as each bears an original signature. Let's go through the steps needed to complete this form correctly.

  1. Begin with Section A: Applicant's Information.
    • Write the applicant’s full name.
    • Indicate the type of applicant - Individual/Business or Government/Law Enforcement Entity.
    • Provide the phone number.
    • If applicable, write the business or government/law enforcement entity name.
    • Supply the complete street address, city, state, and zip code.
    • Enter the applicant's driver license number or government-issued ID number and include a photocopy of the identifying document. Government or law enforcement applicants should include a photocopy of their current government-issued identification card.
  2. Move to Section B: Information Requested.
    • If known, provide the New Jersey Driver License number. If not known, you must provide the driver's name, date of birth, gender, and address.
  3. In Section C: Records Requested, check all records that apply.
    • Mark the boxes corresponding to the records you’re requesting (Certified Complete Driver History Abstract, Order of Suspension, etc.) and specify dates if applicable.
  4. Section D is only for those requesting another individual’s record and requires specifying the purpose of the request according to the New Jersey Driver Privacy Protection Act.
    • Initial next to the permitted use(s) that apply to your request.
    • Provide a written explanation of the reason for your request and how you intend to use the information, including supporting documents if necessary.
  5. Finally, Section E: Terms and Conditions must be reviewed carefully.
    • Read and understand the terms related to the New Jersey Drivers’ Privacy Act.
    • Certify your statements are true, and you understand the conditions by signing at the bottom. An original signature is required.

After completing all necessary sections, ensure that the proper fee accompanies your request, payable by check or money order to the "New Jersey Motor Vehicle Commission." Mailing instructions are provided on the form itself. Remember, DO NOT SEND CASH. Completing and submitting this form is a straightforward process when following these guidelines. Accuracy and attention to detail will help facilitate a smooth request process.

Obtain Answers on Do 21

  1. What is a DO-21 form in New Jersey?

    The DO-21 form is used by individuals, businesses, or government entities to request a Driver History Abstract from the New Jersey Motor Vehicle Commission. This abstract provides a history of a driver’s record, including violations, suspensions, and other essential details.

  2. Who can request a Driver History Abstract using the DO-21 form?

    Individuals looking for their own driving records, businesses or government entities needing information for official purposes, and law enforcement agencies carrying out their functions can all use the DO-21 form to request a Driver History Abstract.

  3. What types of records can be requested with this form?

    Using the DO-21 form, you can request several types of records, including a Certified Complete Driver History Abstract, Certified 5 Year Driver History Abstract, Order of Suspension, Schedule of Suspension, Restoration Notice, Mailing List, Summons, and Accident Report. Specific dates for each record type can also be requested.

  4. How do I submit a DO-21 form?

    To submit a DO-21 form, complete the required sections accurately and include an original signature on the application. For applications not used for official government purposes, you must attach the proper fee with the form in the form of a check or money order. Mail the complete package to the specified address of the New Jersey Motor Vehicle Commission.

  5. What are the fees associated with the DO-21 form?

    Certain records requested via the DO-21 form come with specific fees, such as $15 for various types of Driver History Abstracts or Orders and $5 for an Accident Report. These fees must accompany your form submission in the form of a check or money order payable to the “New Jersey Motor Vehicle Commission.”

  6. Can I send cash with the form?

    No, cash is not accepted. You must pay the fees with a check or money order.

  7. What is the processing time for requests made with the DO-21 form?

    The New Jersey Motor Vehicle Commission typically processes requests made with the DO-21 form within 3-4 weeks from the date they receive the application.

  8. How can I check the status of my DO-21 form request?

    If you want to check the status of your request after it has been mailed, you can contact the New Jersey Motor Vehicle Commission at 609-292-6100 for updates.

  9. Is a photocopy of the form acceptable for submission?

    Yes, you may photocopy the form for your convenience, but remember that each request must have an original signature. No request will be accepted without it.

Common mistakes

  1. Not including an original signature on each request form. Each form must have the applicant's original signature, as photocopies of the signature or the use of signature stamps are not acceptable.

  2. Failing to complete all required sections (A, B, C, and E) in full. Applicants often overlook sections or provide incomplete information, which is necessary for the processing of the request.

  3. Omitting the payment of the proper fee(s) with the request. For applications not related to official government use, the correct fee in the form of a check or money order payable to the "New Jersey Motor Vehicle Commission" must accompany each request. Sending cash is discouraged and can lead to processing delays.

  4. Not including a photocopy of the applicant’s driver license or government-issued ID number when required. This oversight can occur both for individual applicants and for government or law enforcement applicants, who also must include a copy of their current government-issued Identification Card.

Avoiding these common mistakes can streamline the processing of the DO-21 form and ensure a smoother request experience.

Documents used along the form

Understanding the Driver History Abstract Application Request (DO-21 form) involves more than just filling out the form itself. Several additional forms and documents often accompany the DO-21 form to ensure a comprehensive approach to accessing driving records under various circumstances. These documents support various legal, personal, and business needs in conjunction with the New Jersey Motor Vehicle Commission's procedures.

  • DO-11 Form: Required when you need the issue date of your license, it provides specific details not covered in the standard driver history abstract.
  • Notarized Authorization to Release Personal Motor Vehicle Information (Form BGS/DO- 21A): Necessary when the applicant demonstrates that they have obtained the notarized written consent of the individual to whom the information pertains, allowing for the release of personal motor vehicle information.
  • Individual Release Consent Form: Used to verify that an individual has given permission for their records to be accessed, this form is particularly important for government agencies or private entities acting on their behalf.
  • Accident Report: An official record of a vehicle accident, detailing the circumstances and parties involved. This is especially required in legal proceedings related to motor vehicle incidents.
  • Insurance Policy Documentation: Provides evidence of current insurance coverage. It's necessary for transactions involving the verification of insurance for commercial drivers.
  • Driver’s License or State/Federal ID Photocopy: A copy of a valid identification document to verify the identity of the applicant, required for all requests.
  • Letter from Client Confirming Retainment for Legal Proceedings: This document is necessary when the information requested is for use in connection with a legal case, ensuring that the requestor has a legitimate reason for accessing the record.

Completing and submitting the DO-21 form with the relevant supporting documents ensures that requests are processed efficiently and in compliance with legal standards. Whether for personal, business, or legal reasons, understanding each document's purpose and requirement can simplify the process and prevent potential delays.

Similar forms

  • DO-11 Form: Specifically mentioned within the DO-21 form, the DO-11 is designed for those needing to obtain the issue date of their license. This offers a targeted request, similar to the DO-21’s option for requesting various driving records, but focuses narrowly on a singular aspect of a driver's history. Both forms serve individuals requiring official documentation from the New Jersey Motor Vehicle Commission for differing, yet specific, informational needs.

  • Form BGS/DO-21A: This form is for Notarized Authorization to Release Personal Motor Vehicle Information, noted in the DO-21 for cases requiring notarized written consent from the individual whom the information concerns. While DO-21 caters to a broad array of requests from governmental entities to personal inquiries with adequate proof or consent, the BGS/DO-21A zeroes in on ensuring that requests have the explicit consent of the individual involved, highlighting the emphasis on confidentiality and privacy.

  • Accident Report Form: Similar to select options within the DO-21 form that allow for requesting an accident report, this standalone form is dedicated solely to acquiring official reports of vehicular accidents. Both forms play crucial roles in legal, insurance, and personal matters requiring documented evidence of events leading to, during, and following a vehicular incident. However, the accident report form provides a more focused approach, specifically on accident documentation.

  • Suspension Notice Request Form: Similar to sections within the DO-21 that allow for requesting detailed information regarding orders and schedules of suspension, restoration notices, and more. This form is typically honed in on acquiring documentation relating to the suspension status of a driver's license. It shares the purpose of furnishing individuals or entities with legal or official records from the New Jersey Motor Vehicle Commission but narrows its focus specifically to aspects of license suspension and reinstatement.

Dos and Don'ts

When filling out the DO-21 form for the New Jersey Motor Vehicle Commission, it's crucial to follow best practices to ensure the application process is smooth and successful. Here are four things you should and shouldn't do:

Things You Should Do

  • Provide All Required Information: Complete every section that applies to your request, especially Sections A, B, C, and E. Don't leave any required field blank.
  • Include the Correct Fee: Attach the proper fee(s) for the record(s) you are requesting. Use a check or money order payable to "New Jersey Motor Vehicle Commission." Remember, cash is not accepted.
  • Sign the Form: Ensure the form has your original signature. Electronic or stamp signatures are not valid.
  • Attach a Photocopy of Your ID: If you are an individual applicant, include a photocopy of your Driver License, Passport, Birth Certificate, or any valid state or federally issued ID. Government or Law Enforcement Applicants should attach a copy of their Government issued Identification Card.

Things You Shouldn't Do

  • Do Not Send Cash: For the fees associated with your request, never send cash through the mail. Always use a check or money order.
  • Avoid Guessing on Information: If you're unsure about any detail, such as your driver license number or the exact type of record you need, verify the information before submitting. Guessing can lead to delays or the processing of your request being declined.
  • Do Not Use Photocopied Signatures: The form clearly requires an original signature. Using a photocopied or digital signature can result in your application being rejected.
  • Do Not Rush Without Reviewing: Carelessly filling out the form without reviewing for mistakes or missing information can lead to unnecessary delays. Always double-check your form for accuracy and completeness.

Misconceptions

When it comes to understanding and using forms from the New Jersey Motor Vehicle Commission, like the DO-21 form for a Driver History Abstract Application Request, there are quite a few misconceptions floating around. Let's clear some of those up:

  • Misconception 1: You can submit digital or electronic signatures on the DO-21 form.

    This is not correct. The DO-21 form requires an original signature from the applicant. Digital or stamped signatures are not accepted, which means you need to physically sign a printed version of the form.

  • Misconception 2: The form can be used to get anyone's driving record without their permission.

    Actually, you cannot use the DO-21 form to obtain someone else's driving record without a valid reason that aligns with the New Jersey Driver Privacy Protection Act. If you are requesting another person’s record, you must clearly state the purpose, and it must be one of the uses permitted under the act.

  • Misconception 3: Cash payments are accepted for the processing fee.

    The form explicitly states that cash payments are not accepted. Fees must be paid by check or money order made out to the “New Jersey Motor Vehicle Commission.”

  • Misconception 4: The turnaround time for all requests is the same.

    While the form mentions a general turnaround time of approximately 3-4 weeks, this can vary based on the type of record requested and the volume of requests being processed.

  • Misconception 5: Photocopies of the form are not acceptable.

    Contrary to this belief, you may photocopy the form for your convenience. However, ensure that each copy has an original signature.

  • Misconception 6: You need to know the driver license number to make a request.

    While having the driver license number makes the request process smoother, it's not mandatory. You can request a driving record using the individual's name, date of birth, gender, and address if you don't have their driver license number.

  • Misconception 7: The DO-21 form can also be used to request the issue date of your license.

    This isn't the case. To obtain the issue date of your license, you must submit a separate form, the DO-11 form, as stated in the DO-21 form instructions.

Understanding the specifics of the DO-21 form can save individuals and businesses alike a lot of time and hassle when requesting driving records from the New Jersey Motor Vehicle Commission.

Key takeaways

Understanding the intricacies of the New Jersey Motor Vehicle Commission's DO-21 form is essential for anyone seeking to request a Driver History Abstract. Below, find key takeaways crucial for the successful completion and use of this form:

  • Individual Requests: A separate DO-21 form must be completed for each individual record request, necessitating an original signature from the applicant to be considered valid.
  • Photocopy Permission: Applicants are permitted to photocopy the form for their convenience, which facilitates the process of making multiple requests.
  • Payment Requirements: Applications that are not for official government use require the appropriate fee(s) to be included with the submission, in the form of a check or money order payable to the "New Jersey Motor Vehicle Commission". It's important to note that cash payments are not accepted.
  • Processing Time: The anticipated turnaround time for requests is approximately 3-4 weeks. This should be taken into account when planning for the need of the abstract.
  • Mandatory Sections: All applicants are required to complete Sections A, B, C, and E of the form to ensure a valid request. Section D is only necessary if applicable to the request.
  • Identification Proof: A photocopy of a valid identification—such as a driver license, passport, birth certificate, or any valid state or federally issued ID—is required to accompany the form, ensuring the requester's authenticity.
  • Purpose of Request: For those seeking the records of another individual, Section D necessitates an explicit declaration of the intended use of the information, aligning with permissible uses under the New Jersey Driver Privacy Protection Act (NJDPPA).
  • Legal and Ethical Obligations: Applicants are reminded of their legal and ethical obligations concerning the data obtained through this request. The misuse of information can result in significant legal repercussions, including being found guilty of a crime and facing civil action.

Completing the DO-21 form with accuracy and a clear understanding of the New Jersey Drivers' Privacy Act ensures a smoother transaction with the New Jersey Motor Vehicle Commission. It safeguards applicants from potential legal issues and ensures the proper handling and use of sensitive driver information.

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